NPI

Mission Peak Orthopaedic Medical Group, Inc

NPI 1639282551

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2006-08-16
Last updated
2012-10-18

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Specialties

Licenses

License CA
A657720
License CA
A81391
License CA
A95318
License CA
E4711
License CA
PA17256
License CA
A698780

Location

Practice location
5924 Stoneridge Drive, Suite 110
City
Pleasanton CA
Postal code
94588-5400
Phone
(925) 846-6200

Organization contact

Name
Lingagoud Memula
Title
Administrator
Phone
(510) 818-2011

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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